Provider Demographics
NPI:1942829213
Name:LAGER, TAYLOR (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:
Last Name:LAGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8448 CLEARWATER LN APT 311
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1679
Mailing Address - Country:US
Mailing Address - Phone:708-516-0789
Mailing Address - Fax:
Practice Address - Street 1:8448 CLEARWATER LN APT 311
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1679
Practice Address - Country:US
Practice Address - Phone:708-516-0789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029273A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist